Publications by authors named "Franklin Hanna"
Objectives: Previous studies show that the distal transradial approach (dTRA) is safe and effective for coronary angiography and percutaneous coronary intervention. However, the effect of dTRA on radiation exposure in the catheterization laboratory has not been characterized. The authors analyzed the available literature to compare the radiation exposure associated with dTRA vs the traditional radial approach (TRA).
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- Coronary perforation is a rare but serious complication that can occur during percutaneous coronary intervention (PCI) for chronic total occlusions (CTO), with a reported rate of 3.7%.
- In a study involving over 2,000 patients, those who experienced perforation had significantly higher rates of major adverse cardiac events at 1 year, with 24.9% compared to 13.3% for those without perforation.
- Key predictors of coronary perforation included factors like higher activated clotting time, specific scoring criteria, use of certain techniques during the procedure, and the type of artery involved, highlighting the complexity of these cases.